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Journal of Pediatric Psychology Advance Access originally published online on February 23, 2005
Journal of Pediatric Psychology 2005 30(3):257-271; doi:10.1093/jpepsy/jsi036
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Journal of Pediatric Psychology vol. 30 no. 3 © Society of Pediatric Psychology 2005; all rights reserved.

Parent and Adolescent Versions of the Diabetes-Specific Parental Support for Adolescents’ Autonomy Scale: Development and Initial Testing

Kathleen M. Hanna, PhD, RN,1, Linda A. DiMeglio, MD2 and J. Dennis Fortenberry, MD, MS3

1 Family Health Department, Indiana University School of Nursing, 2 Department of Pediatrics—Section of Pediatric Endocrinology and Diabetology, Indiana University School of Medicine, and 3 Department of Pediatrics—Adolescent Medicine Section, Indiana University School of Medicine

All correspondence concerning this article should be addressed to Kathleen M. Hanna, Indiana University School of Nursing, 1111 Middle Drive, NU 451, Indianapolis, Indiana 46202. E-mail: kathanna{at}iupui.edu.

Objective To develop and initially test the psychometric properties of parent and adolescent versions of the Diabetes-Specific Parental Support for Adolescents’ Autonomy Scale. Methods Data-based scale items were developed, analyzed for content validity, and then piloted with 43 adolescents with type 1 diabetes and their parents. Psychometric properties of the scales were then determined with 100 adolescents with type 1 diabetes and their parents. Results Content validity indices of .80 or greater were obtained for 26 items. Item analysis in the pilot and large-sample groups resulted in 22 items being deleted. Principal Components Analysis of the remaining four items indicated one factor in both parent and adolescent versions, accounting for 50–62% of variance and with Cronbach alpha coefficients of .67–.80. Conclusions This newly developed parsimonious scale, initially tested to be reliable, and valid, will facilitate research on parental support for adolescents’ development of diabetes management autonomy.

Key words: diabetes; adolescents; autonomy; parental support.


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